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Relationship of the pre-operative comprehensive geriatric assessment to length of stay in Korean older adults undergoing spinal surgery

Authors
 Ji Yeon Lee  ;  Kwang Joon Kim  ;  Chang Oh Kim  ;  Kyung Hee Lee 
Citation
 AGING CLINICAL AND EXPERIMENTAL RESEARCH, Vol.32(6) : 1137-1143, 2020-06 
Journal Title
 AGING CLINICAL AND EXPERIMENTAL RESEARCH 
ISSN
 1594-0667 
Issue Date
2020-06
MeSH
Aged ; Aged, 80 and over ; Female ; Frail Elderly ; Frailty ; Geriatric Assessment* ; Humans ; Length of Stay ; Male ; Postoperative Complications ; Postural Balance ; Preoperative Period ; Republic of Korea ; Spinal Diseases / surgery* ; Time and Motion Studies
Keywords
Comprehensive Geriatric Assessment ; Depression ; Frailty ; Length of stay ; Older adults
Abstract
Background: Although pre-operative, Comprehensive Geriatric Assessment has been used widely, its impact on the health status of older adults has not been fully examined. Aims: This study aimed to investigate the relationships between subcomponents of a Comprehensive Geriatric Assessment and length of hospital stay in older adults undergoing spinal surgery. Methods: Participants were 133 older adults in neurosurgical department. The Comprehensive Geriatric Assessment included nutrition, physical activity, functional status, cognition, depression, the Timed Up and Go test, self-rated health, and frailty. Length of stay was replaced by excessive number of days, because expected length of stay varied depending on the type of surgery. Results: Excessive lengths of stay were associated with pre-frailty (p = 0.02), frailty (p = 0.02), risk of depression (p < 0.01), and post-operative complications (p < 0.01). More specifically, frailty and risk of depression played as moderators as interacting post-operative complications. The effect of interaction was greatest in the older adults who were frail and depressed (p < 0.001). Discussion: Among the subcomponent of Comprehensive Geriatric Assessment, frailty and depression were significant predictors of excessive length of stay. The interrelationship between frailty and depression better explained excessive length of stay rather than considered as individual variable. Conclusions: Clinicians are encouraged to pay attention to depression and frailty, and its interaction to improve the health status of surgical elderly patients.
Full Text
https://link.springer.com/article/10.1007%2Fs40520-019-01300-9
DOI
10.1007/s40520-019-01300-9
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
3. College of Nursing (간호대학) > Dept. of Nursing (간호학과) > 1. Journal Papers
Yonsei Authors
Kim, Kwang Joon(김광준) ORCID logo https://orcid.org/0000-0002-5554-8255
Kim, Chang Oh(김창오) ORCID logo https://orcid.org/0000-0002-0773-5443
Lee, Kyung Hee(이경희) ORCID logo https://orcid.org/0000-0003-2964-8356
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/179410
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